Welcome to the streamlined and comprehensive guide to the Galileus Cerclage Sinus® surgical process. Here, we break down each phase in a simple yet detailed manner for a clear understanding.

“Comprehensive Guide to the Surgical Phases of Galileus Cerclage Sinus® Technique: From Understanding to Choosing the Best Solution for Posterior Maxillary Atrophy”

1. Preparation and Oral Cleansing in Galileus Cerclage Sinus® ProcedureObjective: Prepare the patient for the Galileus Cerclage Sinus® procedure. Steps: – Complete oral cleansing. – Pre-surgical preparations. – Patient education on procedure details.
2. Insertion of Pterygoid and Nasal Implants in Galileus Cerclage Sinus®Objective: Implant specialized pterygoid and nasal implants for posterior support. Steps: – Precise incision for access. – Skeletal exposure for optimal visibility. – Manual implant insertion for precision and complication avoidance.
3. Preservation and Filling of Dental SocketsObjective: Preserve and fill dental sockets for future implant stability. Steps: – Careful alveolar preservation techniques. – Filling with biocompatible material. – Evaluation of residual bone thickness for further considerations.
4. Suturing and Preparation for ProstheticsObjective: Prepare the prosthetic phase and ensure adequate healing. Steps: – Delicate suturing for wound closure. – Stability evaluation of sutured areas. – Patient post-operative care instructions.
5. Prosthetics and Immediate LoadingObjective: Create and load immediate prosthetics for functional and aesthetic restoration. Steps: – Meticulous crafting of a fixed circular prosthesis. – Handcrafted for optimal aesthetics and functionality. – Two-phase mounting with provisional and definitive prosthetics.
6. Final Prosthetics and Conclusion of the ProcedureObjective: Apply the definitive prosthesis and conclude the Galileus Cerclage Sinus® procedure. Steps: – Permanent placement of zirconia ceramic prosthesis. – Patient approval and satisfaction assessment. – Formal conclusion of the surgical intervention.
7. Hygiene and Post-Procedure CareObjective: Ensure optimal healing and long-term success through post-procedure care. Steps: – Patient education on post-procedure oral hygiene. – Detailed instructions on cleaning techniques. – Regular monitoring appointments and follow-ups.
8. Continuous Support and Maintenance Over TimeObjective: Provide permanent support and guidance for lasting oral health. Steps: – Commitment to continuous support. – Patient education on advanced oral hygiene practices. – Periodic updates on new practices and developments in implant care.

This detailed structure should make the different phases clear and emphasize key aspects of each.

 

 

Phase 1: Preparation and Oral Cleansing in Galileus Cerclage Sinus® Procedure

Welcome to the first phase of the Galileus Cerclage Sinus® procedure, led by Dr. Prof. Roberto Conte. This crucial phase focuses on the preparation and oral cleansing of the patient, laying the optimal foundations for the subsequent phase of dental implant insertion.

1. Patient Preparation:

• The patient is comfortably positioned in the dentist’s chair.
• To ensure maximum tranquility, the patient receives a dose of sedatives and relaxants, previously accepted and consensual.

2. Localized Anesthesia:

• A lidocaine spray is applied to gently numb the gum walls and periosteum.
• The patient takes sedative medications before the procedure.

3. Massage and Lidocaine Removal:

• Gentle gum massage helps evenly distribute the lidocaine.
• After the massage, excess lidocaine is rinsed away.

4. Strategic Anesthetic Injections:

• Using the Galileus® technique, Dr. Conte administers anesthetic injections in strategically selected areas to ensure complete and pain-free sedation.
• The goal is to achieve effective anesthesia in all nerve endings within the oral cavity.

5. Infection Exclusion and Bone Plating:

• Extraction of compromised dental elements.
• Removal of cysts, granulomas, and regressed roots.
• In the presence of infections, bone plating is performed to eliminate microbiological bases.

6. Microbiological Control:

• Verify that the operating area is sterilized and free from possible infection foci.
• Ensure that the environment is ready for the insertion of dental implants.

7. Conclusions and Next Phase:

• Check for the absence of residues or infections.
• The patient is now ready for the next phase of dental implant insertion.

This initial phase is vital to create an optimal and sterile environment for the subsequent procedure. Dr. Prof. Roberto Conte is committed to ensuring the utmost safety and comfort for the patient, preparing the groundwork for the success of the intervention.

 

Phase 2: Insertion of Pterygoid and Nasal Implants in Galileus Cerclage Sinus®

Welcome to the crucial phase of the insertion of special implants in the Galileus Cerclage Sinus®, led by Dr. Prof. Roberto Conte. In this phase, we focus on the insertion of pterygoid and nasal implants, with particular attention to precision and safety.

1. Positioning and Incision:

• Prof. Conte places himself in the posterior left area of the upper jaw, specifically in zone 28, near the pterygoid tuber.
• A deep gingival incision is made to create the insertion site.

2. Pterygoid Bone Skeletalization:

• The gum is lifted to expose the palatine pterygoid bone.
• The bone is fully skeletized for clear visibility and surgical access.

3. Drilling and Pterygoid Insertion:

• Using the Galileus® technique, Prof. Conte drills through the pterygoid tuber to the cortical plates of the sphenoid.
• With precise and measured movements, the pterygoid implants are manually inserted.

4. Tactile and Vibrational Control:

• During manual screwing, Prof. Conte uses touch and vibrational feedback to assess bone resistance and ensure optimal positioning.
• This technique, refined through thousands of insertions, minimizes the risks of bone fractures.

5. Nasal Implant Insertion:

• A second special implant, the nasal implant, is inserted in zone 25, towards the nasal spine, creating a V-shaped pattern around the atrophic maxillary sinus.

6. Creation of Load-Bearing Pillars:

• The combination of pterygoid and nasal implants forms robust pillars to support chewing in the patient’s posterior area.

7. Long-Term Success Assurance:

• The implants remain in place for 5 months, allowing for osseointegration before supporting long-term masticatory load.

This phase represents a crucial step in Galileus Cerclage Sinus®, allowing the patient to overcome severe maxillary atrophy and ensuring a solid foundation for future dental prosthetics. We now look forward to the conclusion of the third phase and the detailed verification of each insertion site.

Phase 3: Preservation and Filling of Dental Sockets

In the subsequent phase of the Galileus Cerclage Sinus® procedure, Prof. Roberto Conte focuses on aesthetic preservation and filling of dental sockets to ensure a uniform and long-lasting final result.

1. Aesthetic Verification and Papilla Safeguarding:

• After implant insertion, Prof. Conte meticulously verifies, section by section, to preserve the shape of the papillae around the dental elements.
• This phase is crucial for future aesthetics, both with the provisional and definitive prosthetics.

2. Dental Socket Filling:

• Identifying empty sockets resulting from previous dental extractions, Prof. Conte proceeds to fill them with biocompatible material.
• In wider grooves, a special material, condress, is used, expanding to preserve volumes.

3. Preservation of Strategic Volumes:

• In some cases, to preserve critical volumes, such as in larger-than-usual sockets, Prof. Conte may decide to insert an additional dental implant, not intended for masticatory load but essential for ensuring a professional aesthetic result.

4. Filling of Grooves and Extracted Areas:

• Areas previously extracted for cysts or granulomas are carefully filled to maintain volumes and achieve a homogeneous appearance.

5. Suturing and Wound Closure:

• After the filling phase, all wounds are sutured.
• Sutures are performed with precision to ensure rapid healing and minimize the risk of complications.

This phase plays a crucial role in preserving the facial aesthetics of the patient, ensuring a solid foundation for the next phase of the procedure. We now eagerly await the completion of this phase and the commencement of the next, leading the patient towards complete oral rehabilitation.

 

Phase 4: Suturing and Preparation for Prosthetics

The suturing phase marks a crucial and delicate moment in the Galileus Cerclage Sinus® procedure. Despite being lengthy and demanding, it is a strategic phase that requires precision and detailed attention. Prof. Roberto Conte considers it fundamental for the success of the intervention.

1. Careful Execution of Sutures:

• Prof. Conte performs sutures slowly, section by section, ensuring not to overlook any detail.
• Precision is essential to avoid possible suture reopening, especially in critical areas.

2. Aesthetic Suturing Around Abutments:

• Special attention is given to aesthetic suturing around the abutments of implants protruding from the gum.
• Aesthetic care is crucial to ensure optimal healing and prepare for the subsequent mounting of the definitive prosthesis without false gum.

3. Protection of Gingival Aesthetics:

• Sutures are executed with precision and strategy to preserve the aesthetics of the gum around the dental implants.
• This approach is fundamental to ensure an aesthetically impeccable final result during the mounting of the definitive prosthesis.

4. Conclusion of the Phase:

• After careful review and the final check by Prof. Conte, the suturing phase concludes successfully.
• The next phase involves the insertion and screwing of the immediate-load temporary fixed prosthesis.

This phase represents a crucial bridge between the surgical site preparation and the application of the prosthesis, ensuring proper healing and preparing the ground for the next step towards complete oral rehabilitation.

 

Phase 5: Prosthetics and Immediate Loading

 

The fifth phase of the Galileus Cerclage Sinus® procedure marks the crucial transition towards the complete oral rehabilitation of the patient, allowing for the application of temporary fixed prosthetics and immediate loading of the teeth.

1. Preparatory Prothetics:

• Temporary fixed prosthetics are generally prepared in advance, thanks to the impressions and molds obtained during the patient’s first visit.

2. Mounting of Temporary Fixed Prosthetics:

• If the prosthetics are already prepared, they are screwed onto the implants immediately after the surgical procedure.
• The patient can see and test the prosthesis, allowing the doctor to make any necessary corrections in real-time.

3. Occlusion Verification and Adjustment:

• The doctor guides the patient in chewing and verifies the occlusion of the temporary fixed prosthesis.
• Any adjustments are made by filing down excess areas, ensuring proper chewing and a perfect occlusion.

4. Aesthetic and Occlusal Completion:

• Holes from the screws used to secure the prosthesis are filled with aesthetic composite material, achieving a natural appearance.
• The doctor attends to every aesthetic and occlusal detail, ensuring an optimal final result.

5. Final Verification and Patient Approval:

• After necessary corrections and adjustments, the patient is invited to check themselves in the mirror.
• The doctor seeks the final approval of the patient, ensuring they feel comfortable with the new prosthesis.

Concluding this phase, the patient is ready to face the next 6 months with the temporary fixed teeth, experiencing comfort, aesthetics, and functionality. The Galileus Cerclage Sinus® technique allows for rapid and complete rehabilitation, offering the patient the satisfaction of a reconstructed and functional smile.

 

Phase 6: Final Prosthetics and Conclusion of the Procedure

 

After 6 months of recovery and implant osseointegration, the patient is ready for the final phase of treatment, culminating in the creation and application of the definitive zirconia ceramic prosthesis. This phase involves the Italian master prosthetist Patrizio Marcato, with over 40 years of experience in the field.

1. Preparation of the Final Prosthetics:

• After 6 months of healing, the patient returns for the final phase of the procedure.
• The temporary prosthesis is disassembled, and precise molds of the implant area are taken.

2. Study and Design:

• The master prosthetist carefully studies the molds and designs the final zirconia ceramic prosthesis.

3. Testing the Titanium Structure:

• A pure titanium bar is developed, tested on the implants to verify its compatibility with the patient’s entire maxillary arch.

4. Trial with Temporary Dental Elements:

• Temporary dental elements are placed on the bar to assess aesthetics, masticatory function, and meet the patient’s preferences regarding shape and size.

5. Recording Desired Modifications:

• The patient expresses any desired modifications, such as color, shape, and size of the teeth.
• The prosthetist records all changes requested by the patient.

6. Creation of the Final Prosthetics:

• With the patient-approved modifications, the master prosthetist creates the final zirconia ceramic prosthesis.

7. Mounting and Final Evaluation:

• The final prosthesis is mounted on the implants, and the patient can assess the aesthetic appearance and masticatory function.
• Further adjustments can be made to ensure complete patient satisfaction.

8. Conclusion and Patient Happiness:

• Once satisfied, the patient gives the final approval, and the zirconia ceramic prosthesis is permanently fixed.
• The emotionally moved patient observes the final result in the mirror, appreciating the extraordinary transformation of their smile.

With this phase, the Galileus Cerclage Sinus® surgical technique concludes successfully, providing the patient with a comprehensive surgical and prosthetic solution that is aesthetically exceptional and functionally advanced.

Phase 7: Post-Procedure Hygiene and Care

1. Post-Procedure Oral Hygiene Instructions:
   • Detailed instructions on post-procedure oral hygiene are provided to the patient.
   • Specific products for cleaning implants and prosthetics are recommended.
2. Follow-Up Appointments:
   • Regular follow-up appointments are scheduled to monitor the healing process and adaptation of the prosthesis.
   • During these appointments, any necessary adjustments are made, and the overall oral health is assessed.
3. Advice on Diet and Lifestyle:
   • The patient receives guidance on what to eat and avoid to ensure the longevity and effectiveness of the prosthesis.
   • Lifestyle advice, such as avoiding smoking and excessive alcohol consumption, is provided.
4. Instructions for Prosthetic Cleaning:
   • Detailed instructions are given for the daily cleaning of the zirconia ceramic prosthesis to maintain long-term health and aesthetics.
5. Long-Term Monitoring:
   • The patient is encouraged to maintain periodic appointments for long-term monitoring of implant and prosthesis health.
   • During these checks, any maintenance or updates needed are evaluated.
6. Continuous Support:
   • The medical team is available to address any questions or concerns the patient may have post-procedure.
   • Continuous support is provided to ensure the long-term well-being of the patient.
7. Continued Education:
   • The patient continues to be educated on the importance of oral hygiene, proper nutrition, and healthy lifestyles to preserve mouth and prosthesis health.

With these post-procedure hygiene and care measures, the aim is to ensure that the patient maintains the success of the procedure over time and enjoys a healthy and functional mouth.

Phase 8: Continuous Support and Maintenance Over Time

1. Constant Communication:
   • The patient maintains ongoing communication through phone, email, and WhatsApp with the medical team.
   • They can inquire, report concerns, or seek advice at any given time.
2. Personalized Support:
   • Continuous support is tailored to the specific needs of the patient.
   • Prompt attention is given to any symptoms or changes to ensure the patient’s peace of mind and overall well-being.
3. Periodic Updates:
   • The medical team regularly provides updates on new oral hygiene practices and any advancements in implant and prosthesis care.
4. Maintenance Recommendations:
   • Ongoing guidance is given for the proper maintenance of the prosthesis, including daily cleaning tips and recommended products.
5. Option for Additional Appointments:
   • The patient has the flexibility to schedule extra appointments as needed, addressing issues or seeking further consultations.
6. Long-Term Monitoring:
   • Scheduled long-term checks are conducted to evaluate the condition of implants and prostheses over time.
   • The objective is to ensure optimal longevity and promptly address any emerging concerns.
7. Continuous Patient Education:
   • The patient remains educated on advanced oral hygiene practices and effective methods to preserve the health of implants and prostheses over time.
8. Confirmations from the Clinic:
   • Periodically, the clinic may reach out to confirm the patient’s health status and ensure that everything is progressing as expected.

Final Note: The Galileus Cerclage Sinus® technique, with its intelligent design and absence of false gums, simplifies daily oral hygiene, reducing the risk of long-term issues. The experiences of previous patients testify to the effectiveness of this innovative solution. The key to success lies in the ongoing collaboration between the patient and the medical team to ensure continuous support and optimal oral health over time.

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